SUMMARY NOTES IN THE RECORD s30752 (Duration: 23:48:56.000) Starting time, recording date: 10:33:00 15/12/1999 Lead 0: E-S Lead 1: A-S Lead 2: A-I Age: 79 Sex: M Comments: This is the same patient as s30751. During this recording period there were a few minor ST depressions associated with increased heart rate. Only one event reached criteria for a significant episode, actually split into two episodes, in lead 0, and another one in lead 2. Symptoms during Holter recording: None reported Diagnoses: Coronary artery disease Treatment: Medications: Atenolol Simvastatin Balloon Angioplasty: No data Coronary Artery bypass Grafting: Triple bypass in 1994 History: Angina, coronary heart disease Hypertension: Yes Left ventricular hypertrophy: No Cardiomyopathy: No Valve disease: No Electrolyte abnormalities: No Hypercapnia, anemia, hypotension, hyperventilation: No Atrioventricular nodal conduction delay: No data Intraventricular conduction block: Left anterior fascicular block Previous Myocardial Infarction: No Previous tests: ECG stress test: Yes Date: July, 1996 Findings: Abnormal - 2 mm anterior ST segment depressions Thallium/Stress echo: Positive for inferior ischemia and wall motion abnormalities Left ventricular function: Hypokinesis and dyskinesis of infero-apical and septal walls, ejection fraction 44% Echocardiogram: Minimal left ventricular dysfunction & valvular regurgitation. Coronary Arteriography: Distal occlusion of posterior descending coronary artery Baseline ECG: Normal sinus rhythm, left anterior fascicular block, non-specific lateral ST-T abnormalities. Holter Recording: Date: 15/12/1999 Recorder: Zymed ST ANNOTATIONS A. Criteria of 30 seconds and 75 microVolts (s30752.sta) Lead 0: Ischemic episodes: 2 Duration: 9:04 0.63% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 0 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 6 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 2: Ischemic episodes: 2 Duration: 5:08 0.36% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 3 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 4 Duration: 14:12 0.33% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 9 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 4 Duration: 14:12 0.99% Rate-related episodes: 0 Duration: 0:00 0.00% Unreadable intervals: 0 Duration: 0:00 0.00% Combined [ischemic or rate-related]: ST segment episodes: 4 Duration: 14:12 0.99% Unreadable intervals: 0 Duration: 0:00 0.00% B. Criteria of 30 seconds and 100 microVolts (s30752.stb) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 0 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 6 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 2: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 3 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 9 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Unreadable intervals: 0 Duration: 0:00 0.00% Combined [ischemic or rate-related]: ST segment episodes: 0 Duration: 0:00 0.00% Unreadable intervals: 0 Duration: 0:00 0.00% C. Criteria of 60 seconds and 100 microVolts (s30752.stc) Lead 0: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 0 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 1: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 6 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Lead 2: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 3 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Total: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Axis shifts: 9 Conduction-change shifts: 0 Noisy events: 0 Unreadable intervals: 0 Duration: 0:00 0.00% Combined: Ischemic episodes: 0 Duration: 0:00 0.00% Rate-related episodes: 0 Duration: 0:00 0.00% Unreadable intervals: 0 Duration: 0:00 0.00% Combined [ischemic or rate-related]: ST segment episodes: 0 Duration: 0:00 0.00% Unreadable intervals: 0 Duration: 0:00 0.00% QRS ATRUTH ANNOTATIONS (s30752.atr) Total number of beats 120567 Normal beats 114473 Premature ventricular contractions 5991 Fusions of ventricular and normal beat 22 Supraventricular premature or ectopic beats 81